[ozmidwifery] BF Problem

[henk / eliza merbis]

Dear Joy,   Couldn't help but notice you are an LC. Would you mind giving me some free advice. I am a (new) midwife with a friend who is breastfeeding her 4 and a half month old daughter. All has been going really well until a week or so ago when Mia started to get fussy at the breast (my friend thinks she is hungry after a feed looking for more). I suggested she feed more regularly (three hourly instead of 4); hand/pump express 3-4 times a day(whichever she prefered); and give EBM post BF. Did I forget anything? I have since spoken to her and she said she hasn't been able to express enough and that Mia is still hungry. She really doesn't want to formula feed  but I have run out of suggestions (being new to all of this)!   Hope you can help.   Eliza.   P.S. I suggested she also ring the ABA but she said they weren't terribly helpful or knowledgeable. She lives in Richmond so maybe I should refer her to an LC??? ----- Original Message ----- From: Joy Cocks To: [EMAIL PROTECTED] Sent: Thursday, August 22, 2002 1:46 AM Subject: Re: [ozmidwifery] re: Lecithin Hi Leonie, About 18 months ago I researched recurrent unexplained mastitis/blocked ducts quite extensively for a client.  Presuming the usual causes are ruled out (inefficient suckling by the infant, restricted feeding, any pressure on the breast causing restriction of milk flow, etc.) anecdotally lecithin can be useful, especially for a woman who has a high intake of saturated fats.  Lecithin is an emulsifier and reduces the size of the fat globules in the breastmilk, thus making it less likely to cause a blockage.  The dose is 1200 mgm 3 or 4 times a day "for a few days" then wean off. I hope this is of some help to you. Joy   Joy Cocks RN (Div 1) RM CBE IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] ----- Original Message ----- From: Leonie Scriven To: [EMAIL PROTECTED] Sent: Friday, 21 August 1998 18:04 Subject: [ozmidwifery] re: Lecithin Dear All,   I am asking on behalf of a patient who has heard that lecithin can help relieve blocked milk ducts.   I've not heard of this and can find no information to support or deny this claim.  Can anyone help?   Masny thanks in advance,   Leonie Scriven